Enuresis: Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Urinalysis by test strip: A rapid test for nitrite detects nitrite-forming bacteria in the urine, if necessary. Likewise, leukocyturia (increased number of white blood cells in the urine) may be detectable. Urine sediment Laboratory parameters 2nd order – depending on the results of the history, … Enuresis: Test and Diagnosis

Whiplash Injury: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Neck/neck/shoulder region [possible symptoms (grade 1, 2): forced posture due to pain; neck pain; myogelosis (knot-like or bulge-like, clearly circumscribed hardening in the muscles; also colloquially known as hard … Whiplash Injury: Examination

Hypothyroidism (Underactive Thyroid): Test and Diagnosis

1st-order laboratory parameters-obligatory laboratory tests. TSH (thyroid-stimulating hormone). FT3 (triiodothyronine) and fT4 (thyroxine) TRH-TSH test Primary hypothyroidism Secondary hypothyroidism* TSH ↑ ↓ /normal fT3, fT4 ↓ ↓ * Most common causes of sec. Hypothyroidism are tumors, trauma, and hemorrhage in the pituitary gland area. Latent hypothyroidism Manifest hypothyroidism TSH ↑ ↑ fT3, fT4 (still) within … Hypothyroidism (Underactive Thyroid): Test and Diagnosis

Heart Murmurs: Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Inflammatory parameters – CRP (C-reactive protein).

Drug-induced Exanthem: Causes

Pathogenesis (disease development) The pathogenesis of hypersensitivity syndrome is not fully understood. It is probably multifactorial, partly toxic, partly immunogenic. The immunological reaction is caused by binding of reactive substances to endogenous receptors such as MHC molecules (Major Histocompatibility Complex; group of genes encoding proteins important for immune recognition, tissue compatibility in transplantation and immunological … Drug-induced Exanthem: Causes

Postthrombotic Syndrome: Causes

Pathogenesis (disease development) Postthrombotic syndrome (PTS) is seen after approximately 10-15 years, in 40-60% of conventionally treated patients with deep vein thrombosis (TBVT). The result is chronic blood reflux in the veins due to vein wall damage and valvular insufficiency (valve leakage). This leads to decompensation (severe dysfunction) with edema formation (water retention), fibrosis (increased … Postthrombotic Syndrome: Causes

Influenza Vaccination: Flu Shot

For influenza vaccination, an inactivated vaccine (dead vaccine) is produced annually, made from the influenza viruses of the previous winter. This vaccine provides 50-80% protection. For children and adolescents between the ages of two and 17, inactivated vaccines are available for injection (“injection”) or live attenuated influenza vaccine (LAIV) for nasal administration (“nasal delivery,” i.e., … Influenza Vaccination: Flu Shot

Chronic Obstructive Pulmonary Disease (COPD): Prevention

Prevention of chronic obstructive pulmonary disease (COPD) requires attention to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Tobacco (smoking, passive smoking) – The most important risk factor for developing COPD is smoking. Chinese hookah smoking is also associated with a significant increase … Chronic Obstructive Pulmonary Disease (COPD): Prevention

Polyneuropathies: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate polyneuropathy: Sensory insensitivity Formication Burning Lack of sensation of heat or cold Gait insecurity → risk of falling or falls. Tingling Swelling sensation Stinging Feeling numb and furry Motor symptoms Muscle spasms Muscle weakness Muscle twitching/fasciculations Pain* * Ca. 50% of all polyneuropathies are associated with pain. Autonomic … Polyneuropathies: Symptoms, Complaints, Signs

Vaginal Spasm: Medical History

Medical history (history of illness) represents an important component in the diagnosis of vaginismus (vaginismus). Family history Are there frequent gynecologic conditions in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). How long have you been experiencing … Vaginal Spasm: Medical History

Drug-Induced Headache

Drug-induced headache (synonyms: Drug-induced headache; Medication-overuse headache; Drug-induced headache; Medication-induced headache (MIK);ICD-10-GM G44.4: Drug-induced headache, not elsewhere classified) refers to medication-overuse headache (MOH). Medication overuse refers to the use of ergotamines, opioids, analgesics (pain relievers)-mixed medications, triptans, or combinations of acute medications on ≥ 10 days/month. For analgesics (e.g., acetylsalicylic acid, ibuprofen, acetaminophen), medication overuse … Drug-Induced Headache